<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<script type="text/javascript" src="../js/base-loading.js"></script>
<title>送物登记</title>
<link rel="stylesheet" type="text/css"
	href="../easyui/themes/default/easyui.css">
<link rel="stylesheet" type="text/css" href="../easyui/themes/icon.css">
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	href="../font-awesome-4.7.0/css/font-awesome.css">
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	src="../../js/plugins/easyui/jquery-easyui-1.5.1/jquery.easyui.min.js"
	type="text/javascript" charset="utf-8"></script>
<script
	src="../../js/plugins/easyui/jquery-easyui-1.5.1/locale/easyui-lang-zh_CN.js"
	type="text/javascript" charset="utf-8"></script>
<style>
#xsqkdj_form table tr td {
	border: solid 1px #cfcfcf;
	text-align: center;
	margin: 0;
}

</style>
</head>
<body>
	<div id="dlg" title="送物登记"
		style="width: 100%; height: 100%; padding: 10px 20px; padding-top: 40px"
		modal="true" closed="true" buttons="#dlg-buttons"
		data-options="maximizable:false,collapsible:true">
		<div style="overflow: auto">
			<div style="margin: 0px; width: 80%; margin: 0 auto; height: 100%;">
				<div class="easyui-layout" data-options="fit:true" id="ysh"
					style="width: 70%; height: 100%; border-right-width: 0px; padding-right: 0px; margin-right: 0px;">
					<div
						style="background-color: #e3ecfd; width: 800px; height: 880px; margin: 0 auto;">
						<form id="xsqkdj_form"
							style="padding: 0 0 30px 0; font-size: 13px">
							<p
								style="text-align: center; font-weight: bold; font-size: 20px; margin-top: 10px; padding: 20px 0 0 0;">送物登记</p>
							<span style="margin-left: 5%"> <label>填表人：</label><input
								class="easyui-textbox" id="gjjd_tbr" style="width: 70%;" /></span> <span
								style="float: right; margin-right: 3%"> <label>填表日期：</label><input
								class="easyui-datebox" id="gjjd_tbrq" style="width: 70%;" />
							</span>
							<table
								style="border: 1px solid #3498db; border-collapse: collapse; background-color: #ffffff; width: 95%; height: 100%; margin: 0 auto; margin-top: 5px;">
								<tbody>
									<tr style="height: 30px">
										<td style="width: 13%;"><span>姓名</span></td>
										<td style="width: 20%;"><input name="gjjd_xb"
											id="gjjd_xb" readonly style="width: 90%;"
											class="easyui-textbox" /></td>
										<td style="width: 13%;"><span>性别</span></td>
										<td style="width: 20%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										<td style="width: 13%;"><span>出生日期</span></td>
										<td style="width: 20%;"><input id="gjjd_mz" readonly
											name="gjjd_mz" style="width: 90%" class="easyui-textbox" /></td>
									
									</tr>
									<tr style="height: 30px">
									<td style="width: 13%;"><span>别名或绰号</span></td>
										<td style="width: 20%;"><input name="gjjd_xb"
											id="gjjd_xb" readonly style="width: 90%;"
											class="easyui-textbox" /></td>
										<td style="width: 13%;"><span>民族</span></td>
										<td style="width: 20%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										
										<td style="width: 13%;"><span>入所日期</span></td>
										<td style="width: 20%;"><input id="gjjd_mz" readonly
											name="gjjd_mz" style="width: 90%" class="easyui-textbox" /></td>
									</tr>
									<tr style="height: 30px">
									<td style="width: 13%;"><span>文化程度</span></td>
										<td style="width: 20%;"><input name="gjjd_xb"
											id="gjjd_xb" readonly style="width: 90%;"
											class="easyui-textbox" /></td>
										<td style="width: 13%;"><span>婚姻状况</span></td>
										<td style="width: 20%;"><input id="gjjd_whcd" readonly
											name="gjjd_whcd" style="width: 90%" class="easyui-textbox" /></td>
										<td style="width: 13%;"><span>职业</span></td>
										<td style="width: 20%;"><input id="gjjd_hyzk" readonly
											name="gjjd_hyzk" style="width: 90%" class="easyui-textbox" /></td>
									</tr>
									<tr style="height: 30px">
										<td style="width: 13%;"><span>工作单位</span></td>
										<td colspan="2" style="width: 20%;"><input id="gjjd_whcd" readonly
											name="gjjd_whcd" style="width: 90%" class="easyui-textbox" /></td>
										<td style="width: 13%;"><span>证件号码</span></td>
										<td colspan="2" style="width: 20%;"><input id="gjjd_hyzk" readonly
											name="gjjd_hyzk" style="width: 90%" class="easyui-textbox" /></td>
									</tr>
									<tr style="height: 30px">
										<td style="width: 13%;"><span>&nbsp;&nbsp;籍贯</span></td>
										<td colspan="5"><input readonly id="gjjd_hkszd"
											name="gjjd_hkszd" style="width: 90%" class="easyui-textbox" />
										</td>
									</tr>
									<tr style="height: 30px">
										<td style="width: 13%;"><span>&nbsp;&nbsp;户口所在地</span></td>
										<td colspan="5"><input readonly id="gjjd_hkszd"
											name="gjjd_hkszd" style="width: 90%" class="easyui-textbox" />
										</td>
									</tr>
									<tr style="height: 30px">
										<td style="width: 13%;"><span>&nbsp;&nbsp;现住址</span></td>
										<td colspan="5"><input readonly id="gjjd_hkszd"
											name="gjjd_hkszd" style="width: 90%" class="easyui-textbox" />
										</td>
									</tr>
									<tr style="height: 30px">
										<td style="width: 25%;"><span>送物人姓名<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="2" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										<td style="width: 25%;"><span>送物人性别<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="2" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										
									</tr>
									<tr style="height: 30px">
										<td style="width: 25%;"><span>与被送物品人关系<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="2" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										<td style="width: 25%;"><span>证件类型<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="2" style="width: 25%;"><input name="card1" type="radio"
											checked="checked" />身份证 <input name="card1" type="radio" />其他证件
										</td>
									</tr>
									<tr style="height: 30px">
										<td style="width: 25%;"><span>送物人证件号码<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="2" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										<td  colspan="3" style="text-align:left; width: 30%;"><input type="button"
											value="扫描二代证" />&nbsp;&nbsp;&nbsp;<input type="button"
											value="在逃对比" /></td>
									</tr>
									<tr style="height: 30px">
										<td style="width: 25%;"><span>执勤民警<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="2" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										<td style="width: 25%;"><span>送物时间<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="2" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										
									</tr>
									<tr style="height: 30px">
										<td style="width: 25%;"><span>送物人联系电话<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="2" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										<td style="width: 25%;"><span>工作单位<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="2" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										
									</tr>
									<tr style="height: 30px">
										<td style="width: 25%;"><span>地址<span
												style="color: #fe8181; float: right;">*</span></span></td>
										<td colspan="5" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" /></td>
										
									</tr>
									<tr style="height: 30px">
										<td style="width: 25%;"><span>送钱金额</span></td>
										<td colspan="5" style="width: 25%;"><input id="gjjd_bm" readonly
											name="gjjd_bm" style="width: 90%" class="easyui-textbox" />元&nbsp;&nbsp;<img
											style="width: 13px; height: 13px; text-align: justify;"
											src="../img/wenhao.png"></td>
										
									</tr>
									<tr >
										<td rowspan="2" style="height: 110px"><span>物品信息</span></td>
										<td style="text-align:left; height: 55px" colspan="5">
										<table id="wupin" style="width:100%;">
											<tbody>
												<tr style="width:100%;">
													<td style="text-align:left;"><input type="checkbox" name="item">秋衣</td>
													<td style="text-align:left;"><input type="checkbox" name="item">秋裤</td>
													<td style="text-align:left;"><input type="checkbox" name="item">保暖衣</td>
													<td style="text-align:left;"><input type="checkbox" name="item">保暖裤</td>
													<td style="text-align:left;"><input type="checkbox" name="item">绒衣</td>
													<td style="text-align:left;"><input type="checkbox" name="item">绒裤</td>
													<td style="text-align:left;"><input type="checkbox" name="item">T恤衫</td>
													<td style="text-align:left;"><input type="checkbox" name="item">书籍</td>
													<td style="text-align:left;"><input type="checkbox" name="item">棉大衣</td>
												</tr>
												<tr style="width:100%;">
													<td style="text-align:left;"><input type="checkbox" name="item">衬衣</td>
													<td style="text-align:left;"><input type="checkbox" name="item">毛巾</td>
													<td style="text-align:left;"><input type="checkbox" name="item">背心</td>
													<td style="text-align:left;"><input type="checkbox" name="item">内裤</td>
													<td style="text-align:left;"><input type="checkbox" name="item">棉鞋</td>
													<td style="text-align:left;"><input type="checkbox" name="item">袜子</td>
													<td style="text-align:left;"><input type="checkbox" name="item">床单</td>
													<td style="text-align:left;"><input type="checkbox" name="item">被罩</td>
													<td style="text-align:left;"><input type="checkbox" name="item">枕套</td>
												</tr>
												<tr style="width:100%;">
													<td style="text-align:left;"><input type="checkbox" name="item">短裤</td>
													<td style="text-align:left;"><input type="checkbox" name="item">布鞋</td>
													<td style="text-align:left;"><input type="checkbox" name="item">拖鞋</td>
													<td style="text-align:left;"><input type="checkbox" name="item">树脂眼镜</td>
													<td style="text-align:left;"><input type="checkbox" name="item">运动衣</td>
													<td style="text-align:left;"><input type="checkbox" name="item">运动裤</td>
													
												</tr>
											</tbody>
										</table>
										</td>
									</tr>
									<tr >
										
										<td style="height: 55px" colspan="5"><textarea id="gjjd_gjyj" name="gjjd_gjyj"
												style="width: 98%; height: 100%; border: 1px solid #3498db; outline: none; resize: none; overflow-y: scroll"></textarea>
										</td>
									</tr>
									<tr >
										<td style="width: 13%;"><span>备注</span></td>
										<td colspan="5"><textarea id="gjjd_gjyj" name="gjjd_gjyj"
												style="width: 98%; height: 100%; border: 1px solid #3498db; outline: none; resize: none; overflow-y: scroll"></textarea>
										</td>
									</tr>
								</tbody>
							</table>
							
							
							<div
								style=" width: 95%; height: 100%; margin: 0 auto;">
								<table class="easyui-datagrid" title="历史记录&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;展开列表框" style="width:100%;height:200px;right: 50px"
			data-options="singleSelect:true,collapsible:true,url:'datagrid_data1.json',method:'get'">
		<thead>
			<tr>
				<th data-options="field:'itemid',width:80">Item ID</th>
				<th data-options="field:'productid',width:100">Product</th>
				<th data-options="field:'listprice',width:80,align:'right'">List Price</th>
				<th data-options="field:'unitcost',width:80,align:'right'">Unit Cost</th>
				<th data-options="field:'attr1',width:250">Attribute</th>
				<th data-options="field:'status',width:60,align:'center'">Status</th>
			</tr>
		</thead>
	</table>
							</div>
							
						</form>
						<div data-options="region:'south',border:false"
							style="text-align: right; padding: 5px 0 0;">
							<div style="text-align: center; margin-top: 5px;">
								<a href="#" class="easyui-linkbutton" iconCls="icon-ok"
									id="xsqkdj_save" >保存</a> <a
									href="/jls_cs/bgcl.html" class="easyui-linkbutton"
									iconCls="icon-cancel" id="xsqkdj_cancel">关闭</a>
									<a href="#" class="easyui-linkbutton" 
									 style="margin-right: 30px">二代证扫描</a>
							</div>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>

</body>


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<script type="text/javascript"
	src="../../js/plugins/seajs/sea.js?ver=${date()}"></script>
<!-- 该配置可对模块路径进行映射修改，可用于路径转换、在线调试等。。。。。。。。。。。 -->
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	{
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